Vanishing Adrenal Glands: Bilateral Adrenal Hemorrhage With Adrenal Insufficiency in COVID-19 Infection

Coronavirus disease 2019 (COVID-19) has been associated with thrombotic and endocrine complications, including adrenal insufficiency in the setting of hemorrhage. We present a patient diagnosed antiphospholipid syndrome (APLS) COVID-19 infection resulting bilateral hemorrhage, subsequently leading to insufficiency. Acute hemorrhage is an underrecognized cause decompensation, multisystem failure, death severe illness. Reports revealed microscopic infarction, which can increase risk Other mechanisms include hyperinflammatory response cytokine storm endothelial dysfunction, vascular injury, parenchymal damage, be coagulopathy thromboembolic events lead Adrenal life-threatening needs recognized promptly. There latent phase between hemorrhagic failure; hence, close monitoring timely intervention are important.